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Fasciocutaneous foreskin twin flaps in hypospadias repair: Reconstructing a functional penis with freestyle design

  • Author Footnotes
    1 Chen Cheng and Yiwen Zhou contributed equally to the article and should be considered as co-first authors.
    Chen Cheng
    Footnotes
    1 Chen Cheng and Yiwen Zhou contributed equally to the article and should be considered as co-first authors.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, PR China
    Search for articles by this author
  • Author Footnotes
    1 Chen Cheng and Yiwen Zhou contributed equally to the article and should be considered as co-first authors.
    Yiwen Zhou
    Footnotes
    1 Chen Cheng and Yiwen Zhou contributed equally to the article and should be considered as co-first authors.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, PR China
    Search for articles by this author
  • Kaixiang Cheng
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, PR China
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  • Yingfan Zhang
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, PR China
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  • Sunxiang Ma
    Correspondence
    Corresponding authors at: Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizhaoju Road, Shanghai, 200011, PR China.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, PR China
    Search for articles by this author
  • Yang Liu
    Correspondence
    Corresponding authors at: Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizhaoju Road, Shanghai, 200011, PR China.
    Affiliations
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, PR China
    Search for articles by this author
  • Author Footnotes
    1 Chen Cheng and Yiwen Zhou contributed equally to the article and should be considered as co-first authors.
Published:October 16, 2022DOI:https://doi.org/10.1016/j.bjps.2022.10.018

      Summary

      Background

      Hypospadias is the most common congenital urological deformity in males; however, there is still no perfect solution or surgical method for one-stage operations to fix proximal hypospadias with ventral penile curvature (VPC). We developed a fasciocutaneous foreskin twin flap technique that can provide freestyle flap designs in hypospadias repair.

      Methods

      A retrospective study including 26 patients was performed between January 2017 and June 2020. The surgical procedures included VPC correction, skin flap design, transfer and reconstruction. The urethra and shaft were reconstructed by twin flaps in one stage. All patients were followed up until 12 months.

      Results

      All VPC cases were corrected after the operation. The fistula rate was 11.5% (3/26). No meatal stenosis, urethral diverticulum, or stricture was observed. A total of 92.3% (24/26) of patients were satisfied with their penis appearance.

      Conclusions

      The fasciocutaneous foreskin twin flaps provide freestyle designs in hypospadias repair, which can achieve a one-stage operation for proximal hypospadias with low fistula rates.

      Keywords

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